GINA NELSON (NPI# 1639628431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639628431 |
| Entity Type | Individual |
| Full Name | GINA NELSON |
| Practice Address |
10 Meadowbrook Rd Brockton MA 02301-7122 |
| Practice Telephone | 5085849210 |
| Mailing Telephone | 5085849210 |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548473630 | Gina Marie Nelson | General Practice | 215 S Wadsworth Blvd Ste 420, Lakewood, CO 80226-1566 | 2007-05-07 |
| 1477683159 | Gina S Nelson | Obstetrics & Gynecology | 210 Sunnyview Ln Ste 104, Kalispell, MT 59901-3128 | 2007-03-06 |
| 1619025855 | Gina Christine Nelson | Chiropractor | 1526 Mahtomedi Avenue, Mahtomedi, MN 55115 | 2007-01-06 |
| 1932738994 | Gina Marie Nelson | Counselor | 10120 W Broad St Ste I, Glen Allen, VA 23060-6709 | 2020-04-02 |
| 1992217277 | Gina Eileen Nelson | Social Worker | 555 Oakdale St Ste D, Folsom, CA 95630-2451 | 2017-10-26 |
| 1609092220 | Gina Marie Nelson | Occupational Therapist | 311 Golf Rd, West Palm Beach, FL 33407-5509 | 2007-04-18 |
| 1457492928 | Gina Virginia Hermsen Nelson | Nurse Practitioner | 20 Progress Point Pkwy, Suite 220, O Fallon, MO 63368-2206 | 2007-02-09 |
| Street Address |
10 MEADOWBROOK RD |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-7122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053407429 | Timothy William Corliss | Social Worker | 10 Meadowbrook Rd, Brockton, MA 02301 | 2006-10-05 |
| 1346858347 | Kevin Alonzo Davis | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-07-16 |
| 1194333229 | Timothy Duncan Carmichael | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-07-15 |
| 1053939496 | Elaine Ruth Enos | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-07-13 |
| 1598387862 | William Perry Petitpas | Substance Abuse Rehabilitation Facility | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-05-10 |
| 1760003701 | Laurie Williams-pipkins | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-04-30 |
| 1780210278 | Tori-anne Charette-bjorkman | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-03-17 |
| 1265067557 | Tiffany Menard | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-03-06 |
| 1174163661 | Desteny M Mcsween | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-01-13 |
| 1043858129 | Bonita Carrasquillo | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2019-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695919 | Albert Bruce Myers Iv | Counselor | 139 Ash St, Brockton, MA 02301-3663 | 2020-09-30 |
| 1437762085 | Laura Elizabeth Regal | Counselor | 231 Main St # 3, Brockton, MA 02301-4342 | 2020-08-24 |
| 1104313949 | Michelle K. Hennessy | Counselor | 103 Commercial St Ste 2, Brockton, MA 02302-3133 | 2018-04-17 |
| 1447767215 | Kafayat Bello | Counselor | 5 Raintree Cir Apt F, Brockton, MA 02302-1912 | 2018-01-03 |
| 1518495928 | Shacorra Williams | Counselor | 12 Montgomery St, Brockton, MA 02301-3714 | 2017-05-30 |
| 1710426911 | Michael Campbell | Counselor | 347 Quincy St, Brockton, MA 02302-3419 | 2017-02-21 |
| 1386181857 | Wecjard Emmanuel | Counselor | 331 N Quincy St, Brockton, MA 02302-1940 | 2017-01-23 |
| 1427502814 | Lauren Mackenzie Suarez | Counselor | 63 Whitmore St, Brockton, MA 02301-5660 | 2016-08-15 |
| 1972957439 | Kassandra Morales | Counselor | 4 Sophia Ave, Brockton, MA 02301-2135 | 2016-04-20 |
| 1447658208 | Altine Simon | Counselor | 74 Pine Grove Dr, Brockton, MA 02301-1115 | 2014-12-10 |
| Find all providers in BROCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.